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Medical Team - Care (or lack thereof)
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<blockquote data-quote="Daibell" data-source="post: 2276769" data-attributes="member: 21149"><p>Hi. I would try to keep things simple. You don't need to do DAFNE to achieve a reasonable balance and often NHS staff with the best of intentions are not the best source of advice unless you are one of the lucky ones. My DNs have been and are great but my diabetes GPs were useless; also I wouldn't rely too much on DUK (sorry!). First get your Basal right and I assume you know how to do that? You shouldn't need to weigh any food; many of us don't although it doesn't do any harm. I'm surprised you don't know what your Bolus insulin is? Your diabetes team can only start you on the Bolus ratio (typically 10:1) but after that only you can determine what it should be at each meal based on experience; there are no rules after the 10:1 start point. I don't know what your Bolus insulin is but if it's an unusual one then perhaps changing to NovoRapid (very common) might help; it may be that's what you already have. So, get back to basics and don't rely too much on 'expert' guidance as much of the time you have to be that expert.</p></blockquote><p></p>
[QUOTE="Daibell, post: 2276769, member: 21149"] Hi. I would try to keep things simple. You don't need to do DAFNE to achieve a reasonable balance and often NHS staff with the best of intentions are not the best source of advice unless you are one of the lucky ones. My DNs have been and are great but my diabetes GPs were useless; also I wouldn't rely too much on DUK (sorry!). First get your Basal right and I assume you know how to do that? You shouldn't need to weigh any food; many of us don't although it doesn't do any harm. I'm surprised you don't know what your Bolus insulin is? Your diabetes team can only start you on the Bolus ratio (typically 10:1) but after that only you can determine what it should be at each meal based on experience; there are no rules after the 10:1 start point. I don't know what your Bolus insulin is but if it's an unusual one then perhaps changing to NovoRapid (very common) might help; it may be that's what you already have. So, get back to basics and don't rely too much on 'expert' guidance as much of the time you have to be that expert. [/QUOTE]
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